Why the study?
Does early neuraxial analgesia increase the risk of operative delivery in nulliparous women?
Population
3,320 nulliparous women in labor (pooled from 9 studies)
Comparison
Early neuraxial analgesia (NA) vs Control group
Design
Meta-analysis
Authors
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Early neuraxial analgesia can be offered without operative delivery concerns in nulliparas; confirms Level 1 evidence supporting guideline use.
Does early neuraxial analgesia increase the risk of operative delivery in nulliparous women?
Early neuraxial analgesia does not increase the risk of operative delivery in nulliparous women and is associated with better neonatal outcomes compared to early parenteral opioids.
Marucci et al. (2007) studied this question.
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